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Example Conditions

"He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all." William Osler

Every patient has something to teach medical students and doctors and we strive to involve patients as educators in every aspect of the curriculum.

Specific signs and symptoms

However, for the purposes of Undergraduate MBBS Finals Examinations and Postgraduate MRCP PACES examinations there are specific signs and symptoms we look for to test our students' and doctors' clinical and communication skills. Examples of these are given below.

This list is not exhaustive or restrictive, but gives an indication of some of the possible conditions that may lead to appropriate stations in history taking and examination skills. 

There is nothing in this information that is not widely known by candidates or available on the MRCP PACES site

H = history E = examination

Cardiovascular
  • Valvular heart disease - E
  • Heart valve replacement - E
  • Heart failure (right/left/congestive) - H&E
  • Congenital heart disease - E
  • Ischaemic heart disease - H
Respiratory
  • COPD - H&E
  • Asthma - H
  • Bronchiectasis - H&E
  • Tuberculosis - H&E
  • Pleural effusion - E
  • Pulmonary fibrosis - E
  • Thoracic surgery - E
Abdominal
  • Oesophageal stricture or carcinoma - H
  • Peptic ulcer disease and gastro-oesophageal reflux disease - H
  • Gallstones and complications - H
  • Pancreatitis and pancreatic carcinoma - H
  • Inflammatory bowel disease - H&E
  • Chronic liver disease of any cause - E
  • Hepatitis - H&E
  • Renal transplant - E
  • Palpable kidneys - E
  • Nephrotic syndrome - H&E
Neurology
  • Stroke - H&E
  • Multiple Sclerosis - H&E
  • Parkinson's disease - H&E
  • Peripheral neuropathy - E
  • Cranial nerve palsies - E
  • Muscular dystrophy - E
Musculoskeletal
  • Rheumatoid arthritis - H&E
  • Seronegative spondyloarthropathies - H&E
  • Gout or pseudogout - H&E
  • Osteoarthritis - H&E
  • Osteoporosis - H
  • Scleroderma - H&E
  • SLE - H&E
Skin
  • Psoriasis - H&E
  • Vitiligo - E
Endocrine
  • Hyper/hypothyroidism - H&E
  • Diabetes (complications) - H&E
  • Cushings syndrome and disease - H&E
  • Acromegaly - H&E
  • Goitre/thyroid mass - E
Surgical
  • Breast carcinoma and benign breast lumps - H&E
  • Abdominal mass - E
  • Abdominal aortic aneurysm - E
  • Incisional, inguinal or femoral hernia
  • Stomas - E
  • Varicose veins - E
  • Lipoma/sebaceous cyst - E
  • Peripheral arterial insufficiency - E
Oncology Haematology
  • Lymphoma (NHL and Hodgkin's lymphoma) - H&E
  • Splenomegaly - CLL/myelofibrosis - E

It is very useful if you can identify patients who may be able to give a succinct history of a new problem in the context of a chronic condition for Station 5 of the MRCP PACES exam.

If you think a patient would be suitable, please indicate this in the email or on the form.